Individual provider Active NPI

Daryl John Callahan, D.O.

  • Family Medicine Physician
  • Neptune, NJ
National Provider Identifier
1669574075
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11241600 Issued in NJ
Practice address
2020 6TH Ave
Neptune, NJ 07753-6123
Phone
(732) 696-7654
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-22853 KS
Family Medicine Physician 207Q00000X 25MB11241600 NJ Primary

Addresses

Primary practice location

2020 6TH Ave
Neptune, NJ 07753-6123

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688

Other practice location 1

600 Caisson Hill Road
Irwin Army Community Hospital, Building 600
Fort Riley, KS 66442
Phone (785) 239-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-22853KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Apr 7, 2024 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Meridian Medical Group - Specialty Care, PC Family Medicine Past Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

2020 6th Ave
Neptune City, NJ 07753
Phone (732) 360-3586

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

1303 S Main St
Holmen, WI 54636
Phone (608) 526-1526

800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1669574075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 6TH AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536123",
            "telephone_number": "732-696-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Caisson Hill Road",
            "address_2": "Irwin Army Community Hospital, Building 600",
            "address_purpose": "LOCATION",
            "city": "Fort Riley",
            "state": "KS",
            "postal_code": "66442",
            "country_code": "US",
            "telephone_number": "785-239-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DARYL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-22853",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11241600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.